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Contact Information

SHANA D ROBERTSON, RN, FNP-BC
360 E EH CRUMP BLVD
MEMPHIS, TN38126-5394
 Phone: 901-261-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for SHANA D ROBERTSON · (Female)

NPI Number 1114620341
Status Active
Credentials RN, FNP-BC
Entity Individual
Enumeration date 03/27/2023
Last updated 09/24/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • MS License # 907057
  • MS License # 910621
  • TN License # 37767
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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